Breast Augmentation with Ideal Implants – Patient 327

A 20 year old  Asian woman who wanted fuller breasts.  She has had a benign tumor called a fibroadenoma excised from her right breast at the age of 11 and has some breast asymmetry as well.  She wanted to have a natural appearance and liked the idea of the Ideal Structured saline implants so that she did not have to worry about silent rupture.  She is shown  before and again, 6 weeks after bilateral partial sub-pectoral breast augmentation with Ideal Implants 270-305 filled to 305

Discussion:  Her nipple to fold distance on stretch on her right breast ( the smaller of her two breasts) is 7 cm which would suggest an implant that is 11 cm at the base or less.  The Ideal implant 270-305 when  filled to 305 has a base width of 10.6 cm to which we add 0.3 cm = 10.9 cm corrected  because it is curved to fit on the chest wall.  The measured base width  of her breasts are 11.4 cm on her right breast and 11.9 cm on the left.  So an implant that is 11 cm or less will fit the nipple to fold distance without having too much superior pole convexity or bulging and she won’t have an overly round “implant” look as long as the base width of the implant is less than the base width of her breasts.  We decided to use the same size on each side, using the largest implant that we could use on her smaller breast-if we put a larger implant on that side to balance the slight difference in breast volume then the smaller breast because it has a tighter skin envelope would appear unnatural.  Her breasts look good at 6 weeks and will continue to soften in appearance over the next 4-5 months as the breasts stretch to accommodate the implants.